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Make a Student Well-being Team Referral

Student Well-being Teams provide school-based services to children and youth with mental, social or physical health issues. A student in any PEI school can be referred to these services through the online form below. For more information visit Student Well-Being Teams.

What information do I need to provide to complete the referral request?

The purpose of this form is to ensure a student gets access to the professional services appropriate to their needs as soon as possible. Background information about the student’s personal situation and health history will help the team determine the best approach for support.  

You will be asked to provide your name and contact details and indicate your relationship with the student. In addition, you will be asked to provide the student’s name, contact and school/grade information, as well as any personal information that can help support the student in working with the Team such as:

  • Date of birth 
  • PEI Health Card number
  • Home/family circumstances
  • Reason(s) why you feel a referral is necessary
  • Health and support services the student is already receiving or has received.

When will I hear back from someone?

Within 5 business days.

Which Student Well-being Team will my referral request go to?

Your request will be directed to the Student Well-being Team that provides services to the student's school. Each team provides services to a family or families of schools. To confirm which Student Well-being Team serves the student's school, visit the team web pages:

Users are encouraged to use Chrome, Firefox or Edge to access this form. Please do not use Internet Explorer. Please refer to Submitting Online Forms for more information.

Can I withdraw from the program or limit my consent at any time?

You may withdraw from the program or limit your consent at any time by contacting the Student Well-being Team.

Education and Lifelong Learning

General Inquiries

Department of Education and Lifelong Learning
Holman Centre
Suite 101, 250 Water Street
Summerside, PE C1N 1B6

Phone: 902-438-4130
Fax: 902-438-4062

DeptELL@gov.pe.ca